Sullivan, Clarence Michael
Sullivan, Clarence Michael is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Sullivan, Clarence Michael can be contacted via phone (210) 916-3918.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (210) 916-3918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1437756574 |
|---|---|
| LBN Legal business name | Sullivan, Clarence Michael |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2020 |
| Last updated | Oct 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Schachsieck, Kyle
2800 Winfield Scott Rd Ste 347 , Fort Sam Houston TX 78234-7662 -
Burkett, Samantha
3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504 -
Gallik, John C
3176 Corporal Johnson Road , Jbsa Fort Sam Houston TX 33809 -
Gallagher, Edward Raymond
1815 Seabee Dr Phibcb Two, Virginia Beach VA 23459-8917 -
Petrone, Anthony
140 Sylvester Rd , San Diego CA 92106-3521 -
Ray, Dylan Harris
11335 Ssg Sims Blvd , Fort Bliss TX 79918 -
Burrow, Joseph Andrew
3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504 -
Simon, Alyssa
3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504